Month: October 2025

Health Connector Open Enrollment Starts 11/1/25 & Health Connector Partner Resources

The Health Connector’s Open Enrollment for 2026 Coverage Starts Tomorrow – Saturday, November 1st. Open Enrollment is the time of year when individuals and families can enroll in the Health Connector’s non-group health insurance coverage or switch existing coverage for any reason, without needing a qualifying event. This year’s Open Enrollment is November 1, 2025,… Continue Reading Health Connector Open Enrollment Starts 11/1/25 & Health Connector Partner Resources

Changes to MassHealth’s Accountable Care Organizations on January 1, 2026

As part of MassHealth’s annual Accountable Care Organization (ACO) program update process, there will be changes to ACO service areas, hospitals, providers, and health plans within the managed care program effective January 1, 2026. Please reference All Provider Bulletin 410 at https://www.mass.gov/lists/2025-masshealth-provider-bulletins for more details. For questions or concerns: LTTS providers, please contact the LTSS… Continue Reading Changes to MassHealth’s Accountable Care Organizations on January 1, 2026

Electronic Visit Verification (EVV) Match Informational Explanation of Benefits (EOBS)

MassHealth EVV soft edits are now live, and you may see new EVV messages on your Remittance Advice (RA). For claims for EVV services processed through MassHealth, you may begin to see codes on your RA indicating whether a matching EVV visit was found in the Sandata EVV Aggregator for the EVV service on the… Continue Reading Electronic Visit Verification (EVV) Match Informational Explanation of Benefits (EOBS)

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